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Mapa mental

Alimentary Tract Surgery - GDV

Ashleigh Burkitt Veterinary Nursing Inglês

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Alimentary Tract Surgery - GDV

  1. Gastric Dilation Volvulus Syndrome / Gastric torsion

    • Deep chest dogs
    • Eat then exercise
    • Clinical signs
      • Depression
      • Salivation
      • Unproductive retching
      • Distended abdomen
      • Flank watching
      • Collapse
      • Tachycardia
      • Pale MM, increased CRT
    • Pathogenesis
      • Stomach dilates bc gas / fluid
        • Progress to torsion if stomach rotates
          • Rotation twists distal oesophagus & duodenum so nothing can leave stomach
            • Extends --> pressure on hepatic portal vein & caudal vena cava = reduced venous return
              • Hypovolaemic shock
                • Necrosis of stomach wall
    • Management
      • Used to stabilise prior to surgery
        • Orogastric intubation
          • Right lateral radiograph, use gravity, sitting / sternal
            • Measure tube nose to 11th rib
              • Pass through bandage in mouth
                • May require lavage
        • Percutaneous needle
          • Prepare, left lateral, aseptic prep over most distended part
            • Insert catheter directly into stomach
    • Surgery
      • Wide ventral-abdo clip
      • To decompress stomach
        • Return stomach to normal position
          • Evaluate organ viabilty
            • Gastropexy

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Veterinary Nursing (Anaesthesia and Surgery) Mapa Mental sobre Alimentary Tract Surgery - GDV, criado por Ashleigh Burkitt em 04-04-2018.
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